The NHS is planning to discharge Covid patients into care homes without a negative test for the virus, it was claimed today — despite the virus ripping through homes and sparking thousands of deaths during the first wave.
Documents say the patients won’t be swabbed but will need to have been isolating for 14 days and not be suffering symptoms of the virus. Care homes have already warned it would be a ‘grave mistake’ to use their empty beds as overflow for packed hospitals.
Trusts are also reportedly considering discharging Covid patients to hotels — under plans dubbed ‘home and hotel’ — after exhausting critical care capacity and facing barriers to utilising the Nightingales.
Patients suffering from the virus are already being transferred from King’s College hospital, London, to a nearby Best Western hotel in Croydon, The Guardian claims.
Health Secretary Matt Hancock today admitted No10 was looking at ‘all options’ to ease mounting pressure on the NHS, which is now treating 35,000 Covid patients — compared to 21,000 during the darkest spell of the first wave last spring.
‘There are huge pressures on the NHS and we are looking to all different ways that we can relieve those pressures,’ he told Sky News.
‘We would only ever do that if it was clinically the right thing for somebody. In some cases, people need sit-down care, they don’t actually need to be in a hospital bed.’
It comes amid fears hospitals could be overwhelmed by the surging admissions of Britons suffering from the virus, with health bosses warning the crisis won’t peak until February. It can take infected patients several weeks to become severely ill, meaning any fall in cases won’t be seen on NHS wards for at least a fortnight.
Care homes furiously warned last week it would be a ‘grave mistake’ to use their empty beds as overflow for packed hospitals.
The National Care Forum warned the homes are facing their own ‘phenomenal’ pressure and cannot cope with NHS patients too. It argued calls to protect the health service must not ignore the ‘massive potential impact’ on care homes.
Covid patients are already being moved to a Best Western-branded hotel in the Croydon area. There is no suggestion that it is the Best Western hotel pictured above
It comes amid fears hospitals could be overwhelmed. There were 35,000 Covid patients in Britain’s hospitals on January 10, up 21.5 per cent on the same time the week before
HALF OF ICU STAFF ON COVID WARDS ARE SUFFERING SEVERE ANXIETY, PTSD OR DRINKING PROBLEMS
Almost half of intensive care staff working on NHS Covid wards are suffering from severe anxiety, post-traumatic stress disorder (PTSD) or have a drinking problem, new research suggests.
The study found poor mental health was common among intensive care unit (ICU) staff and more pronounced in nurses than in doctors.
Over half (59 per cent) of staff said their wellbeing was good but 45 per cent were classified as having at least one mental health issue.
For the study, 709 healthcare workers from nine ICUs in England completed anonymous web-based surveys in June and July 2020.
Some 291 of the staff (41 per cent) were doctors, 344 (49 per cent) were nurses, and 74 (10 per cent) were other healthcare staff.
PTSD, which is caused by stressful, frightening or distressing events and symptoms include repeated nightmares and flashbacks, accounted for 40 per cent of all mental health conditions affecting ICU staff.
Uproar was sparked in the first wave after patients were discharged back to care homes to free up beds without a positive coronavirus test.
It was feared this triggered killer outbreaks, that led to thousands of deaths.
Ashgate Hospice, in Derbyshire, has already accepted a Covid patient from the nearby Royal Chesterfield Hospital.
The hospice said the patient is being isolated from the rest of the ward. They added that they have faced no outbreaks of coronavirus since the pandemic started.
‘We are standing shoulder to shoulder with the NHS and are trying to free up as many beds as possible,’ a spokesman for the hospice said. ‘The majority of patients we have taken from the Royal Chesterfield are palliative non-Covid patients.’
The Department of Health wrote to care homes in October asking them to try and make space to accept non-resident patients being discharged from hospital.
It wanted to set up 500 of these designated areas, sectioned off from the main home and staffed by different workers, in case hospitals became overloaded in the second wave of the pandemic.
Patients are also being discharged early and sent to hotels, according to reports, with organisations including St John’s Ambulance and the British Red Cross supporting the efforts.
They will also provide care for the patients when they get to the hotels, alongside military medical staff and some NHS workers, it is claimed.
Families will also be expected to play a ‘key role’ in monitoring and caring for their loved ones once they are moved to hotels.
The Health Secretary Matt Hancock has admitted they will look at all options
The London Hotel Group, which owns the Best Western Chain, is reportedly in talks with 20 NHS Trusts about providing spare capacity. It says it can provide 5,000 beds.
The patients already being transferred to its hotel in the Croydon area are homeless, The Guardian says.
The Health Secretary said this morning proposals to use hotels were not ‘concrete’ but is ‘something that we look at as we look at all contingencies’.
Asked if the NHS could end up overwhelmed, he told BBC Breakfast: ‘We’re going to do everything we possibly can to give the NHS the support, the resources it needs.
‘That includes, for instance, opening the Nightingale hospitals and the London Nightingale hospital is now receiving patients for the first time since April.’
He said sending some patients to hotels was a ‘further back-up plan’ only done if appropriate for the patient but ‘it’s not something we are actively putting in place’. He said it would be for ‘step-down’ patients only.
Ashgate hospice, in Derbyshire, has already accepted a Covid-19 patient. It is pictured above
It comes as figures show Britain’s second wave of the pandemic may have peaked as lockdown was brought in, with the infection rate dipping for most areas since January 5
The news came after reports that the NHS is on ‘a knife-edge’ with hospitals close to the brink.
Medical students and receptionists will now be brought in to help cope with a huge surge in Covid-19 patients, say experts.
New figures show one in 20 patients are waiting more than 12 hours for beds – yet the worst of the crisis will not arrive until next month. Bosses say core staff face ‘unsustainable workloads’.
NHS England’s London regional director has written to all hospitals ordering a ‘large redeployment effort’ of students, receptionists and social care staff to help care for Covid patients.
Volunteers and social care staff will be moved to hospitals to take up roles such as fetching equipment and food for patients.
New roles have been created to help fill the desperate shortage of staff. Secretaries and students will act as ‘medical ward scribes’ to write down clinical decisions, patient histories and times of treatment.
Students are also helping with tasks such as ‘proning’ patients – turning them on to their fronts.
Meanwhile the Royal College of Emergency Medicine says that in the week to January 3 more than 2,500 patients waited for longer than 12 hours to be admitted to a bed at 32 NHS trusts.
Dr Katherine Henderson, RCEM president, said: ‘It is a dire situation to be in. Our departments are crowded, with many places having no choice but to administer care in corridors.’
Jeremy Hunt, chairman of the Commons health committee and ex-health secretary, urged people to obey restrictions to cut infection rates. He told the BBC: ‘I think the NHS will in the end find intensive care, critical care, beds for all those who need it. But it is on an absolute knife-edge.’
Chris Hopson, chief executive of NHS Providers, said he expects pressure to spike in February. He warned a health and social care committee of MPs yesterday: ‘It is pretty clear the infection rate is not going to go down as quickly as it did in the first phase.’
The rapid rise in cases was now spreading to the East of England into the Midlands, the North West and South West, he added.
‘That’s a particular worry because trusts in the Midlands and the North have got significant numbers of patients still in hospital from the second surge.’